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General NPI Number Information
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NPI Number | 1205934312
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Entity Type | Individual
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Provider Name | GRACE KAO MD
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Gender | Female
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 03/13/2018
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Provider Practice Location Address
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Address Line | 15785 LAGUNA CANYON RD 255
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City | IRVINE
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State | CA
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Zip | 92618-3165
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Country | US
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Telephone | 949-551-8588
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Fax | 949-336-6205
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Provider Business Mailing Address
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Address Line | PO BOX 3766
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City | LA HABRA
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State | CA
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Zip | 90632-3766
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Country | US
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Telephone | 714-525-4002
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Fax | 714-525-4002
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | A044855
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2084N0008X
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Taxonomy Name | Neuromuscular Medicine (Psychiatry & Neurology) Physician
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License Number | A044855
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | A44855
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License Number State | CA
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